Balance’

In the past few months, I have come to learn all about balance’. As most cancer warriors can attest to, you walk a very very fine line with regards to your own mortality.  The delicate balancing act of caustic meds, staying hydrated (the hardest for me) eating well or even eating at all which is so very hard for many must be carefully orchestrated.  A dear fellow warrior has to figure out how to get their blood work to a place that will allow them surgery. Sodium, potassium, white blood cells, red blood cells – it goes on and on. If these numbers are not perfectly in place, it could delay a surgery.  Again, a balancing act that anyone with cancer becomes fairly accustomed to though not always successfully .

I just finished my 8th round of Folfurinox.  Click on the link to learn more about this form of chemotherapy. The side effects are cumulative so as the weeks go on, my balance’ becomes harder and harder to coordinate.  I happen to have the worlds most adorable oncologist, Naim Nazha. A sweet teddy bear of a doctor who never forgets to give my cheek a squeeze when I leave the room. How this man manages to keep a cheerful demeanor all day is way beyond my comprehension. This is also a balance‘ . Seeing multiple patients in various stages of disease all day long, week after week and managing to give them a smile or a squeeze on the cheek is this doctor’s own form of balance’ . 

I’ve come to notice we all have our own method of balance‘.  Whether we are balancing our personal and business lives, our children schedules and non-stop chauffeuring, friends and family time or what should I do to today to stay hydrated and out of the ER?.   We must all figure out the best way to accomplish this while maintaining our sanity. Not an easy task by any means, but certainly doable.

If you know anyone with cancer, who may need some additional emotional support, please suggest they contact gildasclubsouthjersey.org. As a long time volunteer, I can attest to the fact that emotional support is the cornerstone of balance’, and that balance’ is everything.

Balance’

The term balance‘ is a rocking step. The weight is shifted from one foot to the other. (ba-lahn-SAY) (en tournant).  This rocking motion is difficult to do successfully . It must be fluid and look natural or you look like a pendulum just going back and forth with no finesse.  Practice your balance’ and see how your life can take to it easily and naturally.

The Leotard

I’m back at the Chemo Cafe for round 7 of 12.  Today it’s usually quiet, except for the sound of pumps beeping and nurses explaining in very soft voices what drug their starting you wouldn’t know where you are.  I should be comforted by this lull but in truth it reminds me how frail a chemo patient is. The slightest sniffle or scrape to the knee can upset the whole applecart. A simple infection most people shrug off can become life threatening to anyone with a compromised immune system. Usually chemo must then stop to treat the \infection and give the body time to regroup. Personally, I find the thought of stopping the chemo for a minor infection horrifying. The relationship I developed with my chemo, my hero, my savior, my reason for 22 days a month of hell is helping me to live to see important life events we all look forward to. Chemo is like a giant hug from an elderly Aunt who uses too much Jean Naté.  You want the hug and the love that goes with it and hopefully some jewelry and a Chanel Bag down the road but holy cow!!! The smell is unbearable but we do it anyway.

You might have read in the news about a blood test to detect pancreatic cancer. These tests are currently in the clinical trial stage and researchers are hoping it will prove to be useful for other types of cancer. I’m thankful their are people who agree to be a part of any clinical trial, but very often the people involved in these trials are there due to the fact that conventional treatments have failed them. They are reaching out to find the one thing that will save them.

I recently had a heated debate with an asshat from Malaysia who sent me a message in Facebook peddling his “cure” for cancer with barley tea!! Imagine that!!! Barley tea will cure cancer, diabetes, pulmonary disease AND will whiten and brighten your teeth. All this in one lil measly tea bag for the groundbreaking price of $19.99 usd a box.  I guarantee Ron Popiel is kicking himself right now.  I won’t go into the gory details and prolific use of swear words only a girl from Queens can hurl, but Mr. Barley Tea won’t be bothering anyone else on Facebook. The number of people preying on you in a group support on Facebook is mind boggling. I’ve been petitioning Facebook to ban these people on the grounds they pick those who are the at their most vulnerable. People who are looking for anything that will cure them, may give this barley tea a try despite it being not FDA approved or approved by any cancer research group.  I’ve had no success yet but I’m not giving up. I’m obnoxious that way…..

 The Leotard                                                                                                                                       The leotard as we now know it was popularized by the famous French acrobat Jules Leotard (1842-1870) who called the garment a ‘maillot’, a word meaning tight fitting garment. However, it is suggested that the leotard’s true origins lie a century earlier when body stockings were favored undergarments for the popular diaphanous Roman gowns of the time. It was not until 1886 that the garment came to be called a leotard, after Leotard himself. (Gymnastics.com).  Putting on a leotard always felt like a hug to me. My parents were not from the touchy feely tribe and so a hug to me was always special, even if it came from a very unflattering garment. I always wore a black leotard. Frowned on by my dance teacher as morbid and not appropriate, I used the excuse we couldn’t afford the pink ones but truth be told, black was my thing even back then…

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Blog Filler

I thought since I have so much time at The Chemo Cafe on Mondays, about 7 hours of chemo, I would show you a few pictures of my perspective. The scene never changes so I could take new pics each week, but they would always be the same. It would be nice if the room color changed or the radio station was different. Tears for Fears is getting old. This is kind of like watching Ground Hogs Day

 

Fifth Position

Playing “The Waiting Game” happens to us all.  It seems like we are always waiting for something really important to happen. A graduation, a wedding, a baby, a new job, a biopsy or your waiting to find out what next adventure is in store for you with the oncologist. Will you have to continue chemotherapy for an unknown amount of time or will a new series of scans reveal what you have been waiting for or dreading. We are always playing a waiting game regardless of our current situation. I wonder if its possible to actually live without waiting for anything to happen? Is that what is referred to as “living in the moment”?  (sorry my yoganista sisters, and you know who you are). Can we breath ourselves into a state of not waiting for a damn thing to happen?  If so, sign me up!!!  I promise to breathe mindfully every moment I have on the planet.

I have one more excursion to The Chemo Cafe next week. One more time to experience first hand how others are coping tethered to their personalized assassins . The multiple wreckers of cell walls. It seems young men are more stoic at The Cafe. They constantly look at their watch and then look at at how much is left to infuse. They have jobs and families depending on them to get that paycheck cancer be damned!! Older men are more leisurely, reading Car and Driver or Vogue. They don’t cover a bald head and don’t bring blankets or snacks, usually come alone and have fun with the very pretty nurses. Young women look shell shocked and angry. They are trying to keep it together with a stylish chemo supply bag consisting of infused fruit water, seaweed crackers, small containers of avocado slices, a very soft and pretty anthropologie blanket and a great Lululemon hat with a scarf. The phone is forever buzzing with texts, snapchats, phone calls and selfies of friends having fun without them but sending heart emojis. The older woman (me) have a certain look that’s hard to describe. Our jobs as moms, wives, caretakers , working woman has come to a screeching halt.     Years spent doing doing doing for others stops. We are the walking wounded in mind and body. We bring lukewarm tea, broken crackers, sticky candies we found in the car, the throw off our beds to keep us warm. We don’t ask for help because it’s not our nature to need help. WE were the helpers. The more “mature” women at The Cafe have the look of a Queen in the throes of abdicating her thrown.  “I was awesome once”.  We were all awesome once yet here we are, grenades coursing through our veins hoping to be victorious.

 

Fifth Position in ballet is a position of the legs and feet where one foot is placed in front of the other, with the toes of the front foot aligned with the heel of the back foot.  Fifth position is one of the more important positions as it is often a preparation and “in-between” position for many jumps, turns, adagio work and more.  The position is with either the right or left foot in front, but it is technically the same position, just the difference of which foot is in front.   “Preparation” is the key word here..

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Blog Filler

Today as I sit in the “Chemo Room” I thought I would give you a sweet lil lesson on the history of chemotherapy before the Benedryl kicks in and I start seeing tiny evil garden trolls running around giving out pizza and dry martinis…(true story).

According to cancer.org, during World War II, naval personnel who were exposed to mustard gas during military action were found to have toxic changes in the bone marrow cells that develop into blood cells.That drug was the predecessor of methotrexate, a cancer treatment drug used commonly today. I have treated with Methotrexate for a few years for rheumatoid arthritis and had no idea about the connection. The history goes back even further. In the early 1900s, the famous German chemist Paul Ehrlich set about developing drugs to treat infectious diseases. He was the one who coined the term “chemotherapy” and defined it as the use of chemicals to treat disease.  

An Important name in modern chemotherapy is Sidney Farber, a pediatric pathologist. He is regarded as the father of modern chemotherapy, after whom the Dana–Farber Cancer Institute is named. Farber began raising funds for cancer research with the Variety Club of New England in 1947. Together they created The Jimmy Fund, which was one of the first nationwide fundraising efforts to take full advantage of modern media, such as a broadcast of the radio show Truth or Consequences on 22 May 1948. The success of the Jimmy Fund led Farber to realize the importance of marketing in the scientific advancement of knowledge about diseases.

I could drone on and on about this, but if your like me, you’ve already checked your phone twice while reading this. If you have been touched by cancer in any way and want to read more but don’t want science babel (Sorry Dr. Schmoopy)  I recommend reading: The Emperor of All Maladies by Siddhartha Mukherjee.  You will discover the significance of the crab on the cover later on in the book.  Look for it at Goodreads.com or amazon.com .     

I apologize for the brevity of this weeks read. I am still in the throes of severe fatigue which I’m hoping to level off at some point.

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Fourth Position

Today starts my “rest” week after 4 rounds of chemotherapy. Rest week is strange term for many chemo patients. The thought is, it gives your body a chance to recover from the previous onslaught of cytotoxin coursing throughout your body. When I was told about “rest week” I must admit, I pictured palm trees, waves and a gentle trade wind blowing through my oh so perfectly placed curls and “The Rock” serving me poke… The reality of “rest week” is anything but rest. You become a high strung race horse about to run on a very slippery track with 3 legs and a morbidly obese jockey on your back yelling at you in a language you failed in high school.  Nothing makes sense. Side effects have no rhyme or reason and no descernable schedule. You wake up and feel pretty good only to have to sit down to brush your teeth. Feel good again but then food looks like it will sprout legs and a second set of teeth and run off the plate as you hightail it to the nearest bathroom. Feel good again but neuropathy keeps your hands and feet from working correctly.    Rest week?

I understand the science behind the concept. Your body needs time to process the onslaught of various highly toxic fluids coursing around your body. No cell, good,bad or indifferent is safe from a slow and painful demise. They must all be Sacrificed for the Greater Good! If you’ve never watched the silent movie, Metropolis, I recommend it as you can get a good visual as to how chemotherapy works..

*Todays musings are unfortunately short due to fatigue and neuropathy..Next installment will make up for that…probably

Fourth position is considered an important position as it is integral to performing a pirouette correctly, to get the right “spin”  I look at rest week like an out of control pirouette. You spin and spin and spin with no ability to stop the damage caused by it.

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Third Position

Mustering up the energy to write today is a monumental task. Imagine jumping into a pool with your laptop. You must balance yourself and attempt to open the lid. Balance the ‘puter and get your fingers to do as commanded. Only, your brain refuses to participate in this little experiment you have embarked on. Your fingers hit the keys blindly since you can not come up with a coherent thought or anything even remotely witty. Now don’t forget to balance yourself and watch out for the pool vacuum because it will suck up the cord..

This little excersize in futility is the result of  chemotherapy induced neuropathy. One of many many side effects, this one is tangible. You can see it happen and are helpless to control it. The sensation of a cold glass of water in your hand or just taking anything out of the fridge becomes pins and needles, as is the feeling of it in your mouth and down your throat..This lasts about 5 days or so after the 5FU pump is disconnected. Other side effects are severe fatigue. Putting toothpaste on your toothbrush is similar in reaching K2 without any gear what so ever in flip flops and torn LuLaRoe leggings…It’s running through water without the aerobic benefits. Your out of breathe, sweating profusely and your legs feel like they are about to collapse. Fear not dear readers, I put up with this in the name of good dental hygiene and it makes my adorable dentist very happy…

Overheard in The Chemo Room last week:   ” I know what your going through, my Aunt’s cousin’s brother’s nephew is going through the same thing” . “All my relatives over the age of 55 have died of cancer”  “I’ll pray for you”  Oh boy, that really is a touchy subject..Seems like the consensus that day in The Chemo Room was, ” Thanks, but praying doesn’t seem to be working for me”. My personal suggestion is to be careful about advising someone it’s all going to be ok. Sometimes it’s just not.   If you truly want to be helpful, just be available. Don’t ask, just do.

Third position is very rarely done, though it still has a spot as one of the five basic ballet positions.  The reason it is not commonly used beyond a beginner level is that a third position can very easily look like a misplaced first or fifth position. This is an awkward position for your feet. Hard to hold and rarely used. This past week was my Third Position. I had a hard time holding on and I felt awkward and unbalanced.

Third

 

BLOG FILLER

Today starts another chemo week. I must admit, the night before is incredibly anxiety provoking . Starting around 8PM my mind goes into hyper drive. The pre chemo blood work on my very slippery veins sets the tone for the rest of the day.

The actually “hooking up” is similar to the Spacestation docking..An enormous amount of prep work by the lovely nurses at Dr. Nazha’s (my oncoligist) office. The skin is cleaned no less then 4 times and a freezing spray is used to soften the blow and then the lovely nurses pierce the skin with the needle into the center of the port to start the meds. All this is done by touch because the port is under the skin.  I have a habit of pressing my nails into my palms to distract me because I read an article in the dentists office that said your brain can only comprehend pain at one spot at a time. I don’t know if this is  actually true because it was in an Oprah magazine and everyone knows Oprah knows absolutely everything!

And so, here I am. Chatted with two friends, one on chemo and one not. We spent some time talking about our kiddos and very little time on ourselves. Typical moms are we..

 

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Second Position

I’ve finished 2 chemo sessions so far and I’m on my “RestWeek”..I don’t quite agree with that universal term describing the days following your infusions where your free to come and go as you please. The immediate days, 1 through 2 are not too bad. Nausea mostly but easily handled by one or 2 of the 11 bottles of pills and potions lined up. Day 3  the fatigue taps you on the head and says, ” Hey!!!! Remember me? There’s no going up and down stairs, making the bed or putting on makeup..nonononono I just wont have it.”  Fatigue is a profound feeling like I’ve never experienced. The act of simply raising your arms is monumental at times. I never ran a marathon, actually I never ran period. My people don’t run, we walk rapidly with an occasionally stumble..But, If I did, it probably feels like going for a second marathon 5 minutes after completing your first.  Day 5 through 7 of rest of said “rest week” I start to feel normal again..Day 8 is when your gut catches up with the fact that your trying to kill it and it doesn’t quite care for that. It reacts violently and without mercy regardless of how nice you were to it in the past with probiotics, vegan yogurt, $10 kale smoothies and lactose free milk..It’s mad and there’s no apologizing to it. It hums the theme song to GilligansIsland if you try…

This was the week I also lost my beloved grey silver and black curls that took a year and a half to culture. The loss wasn’t gradual by any means. One shower=no hair left..OK, I knew it was coming but to have it in your hands really sucks..Lucky for me, Dr. Schmoopy to the rescue!..His nimble pre-surgical head shaving hands made quick work of it for me, himself and Isaac..If we sit together we look like a nest of Peregrine Falcon Chicks…A good friend of mine is also having her own journey with chemo and realized today her beautiful curls, admired by many are on the outs…We just looked at each other with not too much to say…

Second position is known as ‘ The Jumping Jack That Never Jumped Back”  It provides a wider base for pliés and also serves as a transition between steps. This position was always the easiest for me to do correctly. I spent many days perfecting my second position because it gives your legs some breathing room, so prized by the woman of my HaploGroup H11 1b…. This position is similar to my “rest week”. It gives me breathing  room to tackle the beast waiting for me next Monday.

 

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First Position

The end of my “rest week” is coming to a close this Mothers Day. The happy feelings of seeing your children successfully navigate into adulthood are mingling with dark feelings of dread. Hoping against hope you will see your husband retire and realize his dream to bake 24/7,  weddings, partnerships, grandchildren G-D willing. These are no longer guaranteed to me but are now relegated to possibly, maybe or hopefully. They are random thoughts in my head day and night. These thoughts prevent me from continuing my online shopping addiction or buying new real estate to play with.

I had a set back with an infection at the port site..Having a compromised immune system makes me susceptible to any and all germs. Since a port is a piece of hardware, if it becomes infected, it must be removed. It cannot be treated. Fortunately, my friendly neighborhood ID doc hooked me up (literally) with new antibiotic, (Dalbavancin)  ..Add a few days of oral Cipro and hopefully  it was kicked in the butt and chemo can go on as planned tomorrow.

The last 2 days were the days I have felt the best. This makes sense because they are the farthest from the infusion days..I was really hungry, had no nausea and very little pain to speak of..If this trend continues, it will make planning anything easier knowing I have 2 or 3 good days to look forward to. The lovely Mary came home to visit with her usual bag of gifts and goodies. Today she took me to my happy place….Langs Garden Center..The mother of all boutique garden stores…$200 later and I’m a happy camper.. So as my anxiety about tomorrow grows and intensifies throughout the day, I go outside and look at my chaotic but very happy mess of a blooming garden. I offered up some very pretty purple Clematis to hopefully satisfy:

The Hopping Bastard Bunnies”

In hopes they will leave everything else alone…..

The positions of the feet in ballet is an important part of classical ballet. It defines the placement of feet on the floor. I’m ready for first position. My feet are firmly grounded on the well worn wooden floor at Miss Elayne’s Ballet Tap and Jazz School on Union Turnpike in Queens..I am determined to hold onto this position. To accept whatever is necessary to get me to the next position gracefully..

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